All reservations and related requests are tentative until confirmed in writing. This also applies to any reservation changes. Cancellations and reservation changes must be made at least 48 hours in advance. A non-refundable deposit of $50 is due upon application. E-mail your requests to events@wcsu.edu.

Reservations will be billed after the event. In addition, there may be additional charges for food service, extra staffing, maintainance, media equipment, etc.

Normally, all events scheduled Sunday through Thursday evenings should plan to end by 12:00 midnight; all events scheduled on Friday or Saturday nights; by 1:00am.

B

Name of event or activity:___________________________________________________________________________________

Relationship to WCSU

Student

Faculty/Administration

Club/Organization

Other__________________

Type of Activity

Lecture

Meeting

Concert

Reception

Dance

Other________________

Building and Room Requesting:______________________________

Day(s) and Date(s) Requested:_____________________

Event Start Time:______

PM

AM Event End Time_____

AM

PM

Expected Attendance__________

Open to the public

Yes

No

Will money be charged?

Yes

No, If yes, how much? ________

Will food be served?

Yes

No (All catering must be done through Dining Services - 203-837- 8755)

Are you requesting to serve alcohol?

Yes

No (student clubs and organizations must get approval

from the director of Student Center/Student life)

Name of club or organization_________________________________________________________________________________

Name of organization representative__________________________

Title/ Position with organization_____________________

Email__________________________________________

Address:________________________________________________

Phone Number:

Day _______________________

Evening____________________

C

SETUP
Please use back for additional setup

Additional Staffing
The sponsoring organization may request

Media Services
203-837-8760

Round Table

QTY:_______

additional staffing for an event or the event may

See planning guide for additional

Rectangular Tables

QTY:_______

require additional staffing.

equipment and charges.

Chairs

QTY:_______

Podium

QTY:_______

Maintainance _____hr X

$ _______________

Overhead Projector

$_____

Other

Police

$ _______________

Screen

$_____

Stage Manager

$ _______________

VCR/TV Monitor

$_____

________________________________

Music Dept. Fees

$ _______________

Camcorder

$_____

Facility Rental Fees

$ _______________

Other

$_____

________________________________

Piano Tuning

$ _______________

Total media fees charged

$_____

Audio

$ _______________

LCD Projector

________________________________

Less Deposit

$ _______________

(Contact UC at 203-837-8467)

Total Fees Charged

$ _______________

GRAND TOTAL

$_____

D

I have read the above and agree to abide by these statements. I understand that this reservation is confirmed only upon reciept of the approved confirmation copy. The individual who signs this contract warrants that he/she is legally authorized to execute this contract for the organization or club.